Epidemiology of alcohol and other drug use among motor vehicle crash victims admitted to a trauma center

The objectives of this research were to (1) determine the incidence and prevalence of alcohol and other drug use among motor vehicle crash (MVC) victims admitted to a regional Level-I trauma center, and (2) to examine the utility of using a rapid point-of-collection (POC) drug-testing device to identify MVC patients with drug involvement. Blood and urine specimens were routinely collected per clinical protocol for each MVC victim at the time of admission. Blood alcohol concentration (BAC) levels were determined per standard clinical protocol. Clinical urine specimens were routinely split so that a POC drug-testing device for the detection of commonly abused drugs (Marijuana, Cocaine, Amphetamines, Methamphetamines, and Opiates) could be compared to that of the standard hospital laboratory analysis of each urine specimen (which also included Barbiturates and Benzodiazepines). In the six-month period of this study, nearly two-thirds of trauma center admissions were victims of motor vehicle crashes. During this time, blood and urine was collected from 322 MVC victims. Toxicology results indicated that 59.3% of MVC victims tested positive for either commonly abused drugs or alcohol. More patients tested positive for drug use than tested positive for alcohol, with 33.5% testing positive for drug use only, 15.8% testing positive for alcohol use only, and 9.9% testing positive for both drugs and alcohol. Less than half (45.2%) of the substance-abusing patients in this study would have been identified by an alcohol test alone. After alcohol, marijuana and benzodiazepines were the most frequently detected drugs. Point of collection (POC) test results correlated well with laboratory results and provide important information to initiate rapid intervention/treatment for substance use problems among injured patients.     

HYDROGEOCHEMICAL RELATIONSHIPS USING PARTIAL CORRELATION COEFFICIENTS1

ABSTRACT: Sixty-nine groundwater samples were analyzed for six chemical parameters. Partial and simple correlation coefficients for these parameters indicate that partial coefficients are superior to simple coefficients in establishing geochemical relationships for the aqueous system evaluated. The improved reliability arises from the ability of partial correlation analysis to hold outside factors that may be affecting the two variables of interest, constant.     

PRIORITIZING NONPOINT SOURCE PHOSPHORUS LOADING USING A GRASS-MODELING SYSTEM1

ABSTRACT: A UNIX-based windows application was developed to integrate a phosphorus transport model with the Geographic Resources Analysis Support System (GRASS). The system prioritizes potential phosphorus loading from fields or cells in a watershed and can evaluate the effects of alternate management practices on phosphorus yield. The model simulates phosphorus loading by using a daily mass balance on a unit-area basis and incorporates the effects from rainfall, topography, soil properties, fertilizer and animal waste application, and management. Model predictions include dissolved and sediment-bound phosphorus yield, runoff volume, and sediment yield. Within the integrated GRASS-modeling system, the user can obtain model input data, execute the model using various options, rank model input and out. put data, and display them as GRASS-based maps or data tables. All functions are menu driven, developed using C language and X-window tools to run on a SUN workstation platform. The system provides a powerful and efficient tool for prioritizing phosphorus loading from nonpoint sources.     

胶州湾内外沉积物岩芯中多氯萘的分布特征研究

利用13 C同位素稀释-高分辨率气相色谱-高分辨率质谱法测定了胶州湾内、外沉积物岩芯中多氯萘(PCNs)异构体的含量,对其同系物分布、可能来源、沉积通量及毒性当量进行了初步探讨,并研究了由各类来源PCNs进入到胶州湾的历史沉积趋势.结果表明,胶州湾内、外沉积物岩芯中∑PCNs含量范围分别为3.9～56.4 Pg·g-1...